Active NPI
Lori Ray, PHARM. D.
- Pharmacist
- Fayetteville, AR
National Provider Identifier
1891190682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD08751
- Practice address
- 2491 N Center St
Fayetteville, AR 72701-9455 - Phone
- (479) 442-6060
- Fax
- (479) 442-0606
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD08751 | AR | Primary |
Addresses
Primary practice location
2491 N Center St
Fayetteville, AR 72701-9455
Mailing address
2491 N Center St
Fayetteville, AR 72701-9455
Phone (479) 442-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD08751 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collier Drug Stores Inc | Past | Accepting new patients | |
| Collier Drug Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Elkins, AR
- NPI 1588091201
-
- Long Term Care Pharmacy
- Fayetteville, AR
- NPI 1780378083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1891190682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2491 N CENTER ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727019455",
"telephone_number": "479-442-6060",
"fax_number": "479-442-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2491 N CENTER ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727019455",
"telephone_number": "479-442-6060",
"fax_number": "479-442-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "LORI",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD08751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.